NPIMap

Organization Active NPI

Tender Loving Care Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1427447333
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4550 Issued in AZ
Legal business name
TENDER LOVING CARE HOME LLC
Practice address
7232 E Montecito Dr
Tucson, AZ 85710-4922
Phone
(520) 546-1724
Fax
(520) 886-1413
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Pascal Aminkeng Etiendem
Title
Assistant Administrator
Phone
(520) 981-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4550 AZ Primary

Addresses

Primary practice location

7232 E Montecito Dr
Tucson, AZ 85710-4922

Mailing address

2344 E Camino Malcote
Tucson, AZ 85706-5191
Phone (520) 981-5227

National Provider Directory

National Provider Directory
Tax ID family
Tender Loving Care Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1427447333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 E CAMINO MALCOTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857065191",
            "telephone_number": "520-981-5227",
            "fax_number": "520-886-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 E MONTECITO DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104922",
            "telephone_number": "520-546-1724",
            "fax_number": "520-886-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER LOVING CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "ETIENDEM",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_middle_name": "AMINKENG",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "520-981-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.